Kenya ePrescription FHIR Implementation Guide
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: Additional Instruction Codes CodeSystem - TTL Representation

Active as of 2026-04-24

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "additional-instruction-cs"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem additional-instruction-cs</b></p><a name=\"additional-instruction-cs\"> </a><a name=\"hcadditional-instruction-cs\"> </a><p>This case-sensitive code system <code>https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">TAKE-AT-BEDTIME<a name=\"additional-instruction-cs-TAKE-AT-BEDTIME\"> </a></td><td>Take at bedtime</td></tr><tr><td style=\"white-space:nowrap\">TAKE-IN-THE-MORNING<a name=\"additional-instruction-cs-TAKE-IN-THE-MORNING\"> </a></td><td>Take in the morning</td></tr><tr><td style=\"white-space:nowrap\">TAKE-IN-THE-EVENING<a name=\"additional-instruction-cs-TAKE-IN-THE-EVENING\"> </a></td><td>Take in the evening</td></tr><tr><td style=\"white-space:nowrap\">TAKE-WITH-OR-AFTER-FOOD<a name=\"additional-instruction-cs-TAKE-WITH-OR-AFTER-FOOD\"> </a></td><td>Take with or after food</td></tr><tr><td style=\"white-space:nowrap\">TAKE-WITH-OR-BEFORE-FOOD<a name=\"additional-instruction-cs-TAKE-WITH-OR-BEFORE-FOOD\"> </a></td><td>Take with or before food</td></tr><tr><td style=\"white-space:nowrap\">HALF-TO-ONE-HOUR-BEFORE-FOOD<a name=\"additional-instruction-cs-HALF-TO-ONE-HOUR-BEFORE-FOOD\"> </a></td><td>Half to one hour before food</td></tr><tr><td style=\"white-space:nowrap\">TAKE-BEFORE-BREAKFAST<a name=\"additional-instruction-cs-TAKE-BEFORE-BREAKFAST\"> </a></td><td>Take before breakfast</td></tr><tr><td style=\"white-space:nowrap\">TAKE-AFTER-BREAKFAST<a name=\"additional-instruction-cs-TAKE-AFTER-BREAKFAST\"> </a></td><td>Take after breakfast</td></tr><tr><td style=\"white-space:nowrap\">TAKE-BEFORE-LUNCH<a name=\"additional-instruction-cs-TAKE-BEFORE-LUNCH\"> </a></td><td>Take before lunch</td></tr><tr><td style=\"white-space:nowrap\">TAKE-AFTER-LUNCH<a name=\"additional-instruction-cs-TAKE-AFTER-LUNCH\"> </a></td><td>Take after lunch</td></tr><tr><td style=\"white-space:nowrap\">TAKE-BEFORE-DINNER<a name=\"additional-instruction-cs-TAKE-BEFORE-DINNER\"> </a></td><td>Take before dinner</td></tr><tr><td style=\"white-space:nowrap\">TAKE-AFTER-DINNER<a name=\"additional-instruction-cs-TAKE-AFTER-DINNER\"> </a></td><td>Take after dinner</td></tr><tr><td style=\"white-space:nowrap\">DISSOLVE-OR-MIX-IN-WATER<a name=\"additional-instruction-cs-DISSOLVE-OR-MIX-IN-WATER\"> </a></td><td>Dissolve or mix in water</td></tr><tr><td style=\"white-space:nowrap\">SWALLOW-WHOLE<a name=\"additional-instruction-cs-SWALLOW-WHOLE\"> </a></td><td>Swallow whole</td></tr><tr><td style=\"white-space:nowrap\">DO-NOT-CHEW<a name=\"additional-instruction-cs-DO-NOT-CHEW\"> </a></td><td>Do not chew</td></tr><tr><td style=\"white-space:nowrap\">CHEW-BEFORE-SWALLOWING<a name=\"additional-instruction-cs-CHEW-BEFORE-SWALLOWING\"> </a></td><td>Chew before swallowing</td></tr><tr><td style=\"white-space:nowrap\">ALLOW-TO-DISSOLVE-UNDER-TONGUE<a name=\"additional-instruction-cs-ALLOW-TO-DISSOLVE-UNDER-TONGUE\"> </a></td><td>Allow to dissolve under tongue</td></tr><tr><td style=\"white-space:nowrap\">DO-NOT-TAKE-WITH-ALCOHOL<a name=\"additional-instruction-cs-DO-NOT-TAKE-WITH-ALCOHOL\"> </a></td><td>Do not take with alcohol</td></tr><tr><td style=\"white-space:nowrap\">DO-NOT-TAKE-WITH-DAIRY-PRODUCTS<a name=\"additional-instruction-cs-DO-NOT-TAKE-WITH-DAIRY-PRODUCTS\"> </a></td><td>Do not take with dairy products</td></tr><tr><td style=\"white-space:nowrap\">MAY-CAUSE-DROWSINESS<a name=\"additional-instruction-cs-MAY-CAUSE-DROWSINESS\"> </a></td><td>May cause drowsiness</td></tr><tr><td style=\"white-space:nowrap\">MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL<a name=\"additional-instruction-cs-MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL\"> </a></td><td>May cause drowsiness if combined with alcohol</td></tr><tr><td style=\"white-space:nowrap\">AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT<a name=\"additional-instruction-cs-AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT\"> </a></td><td>Avoid prolonged exposure to sunlight</td></tr><tr><td style=\"white-space:nowrap\">KEEP-REFRIGERATED<a name=\"additional-instruction-cs-KEEP-REFRIGERATED\"> </a></td><td>Keep refrigerated</td></tr><tr><td style=\"white-space:nowrap\">SHAKE-WELL-BEFORE-USE<a name=\"additional-instruction-cs-SHAKE-WELL-BEFORE-USE\"> </a></td><td>Shake well before use</td></tr><tr><td style=\"white-space:nowrap\">WARNING-MAY-CAUSE-DROWSINESS<a name=\"additional-instruction-cs-WARNING-MAY-CAUSE-DROWSINESS\"> </a></td><td>Warning — may cause drowsiness</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs"^^xsd:anyURI ;
fhir:l <https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "AdditionalInstructionCS"] ; # 
  fhir:title [ fhir:v "Additional Instruction Codes CodeSystem"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2026-04-24T09:57:31+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "DHA, Kenya"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "DHA, Kenya" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://dha.go.ke/" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "helpdesk@dha.go.ke" ]     ] )
  ] [
fhir:name [ fhir:v "Digital Health Agency, Kenya" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "helpdesk@dha.go.ke" ] ;
fhir:use [ fhir:v "work" ]     ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.dha.go.ke/" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Supplementary instructions for dispensed or administered medication. Source: MOH-KENYA OCL ADDITIONAL-INSTRUCTION-CODES."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "KE" ] ;
fhir:display [ fhir:v "Kenya" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Copyright 2025+ Digital Health Agency, Kenya. This content is licensed under Creative Commons Attribution 4.0 International (CC-BY-4.0). Terminology content from the Kenya Pharmacy and Poisons Board (PPB) via Open Concept Lab (OCL) is subject to separate terms."] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "25"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "TAKE-AT-BEDTIME" ] ;
fhir:display [ fhir:v "Take at bedtime" ]
  ] [
fhir:code [ fhir:v "TAKE-IN-THE-MORNING" ] ;
fhir:display [ fhir:v "Take in the morning" ]
  ] [
fhir:code [ fhir:v "TAKE-IN-THE-EVENING" ] ;
fhir:display [ fhir:v "Take in the evening" ]
  ] [
fhir:code [ fhir:v "TAKE-WITH-OR-AFTER-FOOD" ] ;
fhir:display [ fhir:v "Take with or after food" ]
  ] [
fhir:code [ fhir:v "TAKE-WITH-OR-BEFORE-FOOD" ] ;
fhir:display [ fhir:v "Take with or before food" ]
  ] [
fhir:code [ fhir:v "HALF-TO-ONE-HOUR-BEFORE-FOOD" ] ;
fhir:display [ fhir:v "Half to one hour before food" ]
  ] [
fhir:code [ fhir:v "TAKE-BEFORE-BREAKFAST" ] ;
fhir:display [ fhir:v "Take before breakfast" ]
  ] [
fhir:code [ fhir:v "TAKE-AFTER-BREAKFAST" ] ;
fhir:display [ fhir:v "Take after breakfast" ]
  ] [
fhir:code [ fhir:v "TAKE-BEFORE-LUNCH" ] ;
fhir:display [ fhir:v "Take before lunch" ]
  ] [
fhir:code [ fhir:v "TAKE-AFTER-LUNCH" ] ;
fhir:display [ fhir:v "Take after lunch" ]
  ] [
fhir:code [ fhir:v "TAKE-BEFORE-DINNER" ] ;
fhir:display [ fhir:v "Take before dinner" ]
  ] [
fhir:code [ fhir:v "TAKE-AFTER-DINNER" ] ;
fhir:display [ fhir:v "Take after dinner" ]
  ] [
fhir:code [ fhir:v "DISSOLVE-OR-MIX-IN-WATER" ] ;
fhir:display [ fhir:v "Dissolve or mix in water" ]
  ] [
fhir:code [ fhir:v "SWALLOW-WHOLE" ] ;
fhir:display [ fhir:v "Swallow whole" ]
  ] [
fhir:code [ fhir:v "DO-NOT-CHEW" ] ;
fhir:display [ fhir:v "Do not chew" ]
  ] [
fhir:code [ fhir:v "CHEW-BEFORE-SWALLOWING" ] ;
fhir:display [ fhir:v "Chew before swallowing" ]
  ] [
fhir:code [ fhir:v "ALLOW-TO-DISSOLVE-UNDER-TONGUE" ] ;
fhir:display [ fhir:v "Allow to dissolve under tongue" ]
  ] [
fhir:code [ fhir:v "DO-NOT-TAKE-WITH-ALCOHOL" ] ;
fhir:display [ fhir:v "Do not take with alcohol" ]
  ] [
fhir:code [ fhir:v "DO-NOT-TAKE-WITH-DAIRY-PRODUCTS" ] ;
fhir:display [ fhir:v "Do not take with dairy products" ]
  ] [
fhir:code [ fhir:v "MAY-CAUSE-DROWSINESS" ] ;
fhir:display [ fhir:v "May cause drowsiness" ]
  ] [
fhir:code [ fhir:v "MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL" ] ;
fhir:display [ fhir:v "May cause drowsiness if combined with alcohol" ]
  ] [
fhir:code [ fhir:v "AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT" ] ;
fhir:display [ fhir:v "Avoid prolonged exposure to sunlight" ]
  ] [
fhir:code [ fhir:v "KEEP-REFRIGERATED" ] ;
fhir:display [ fhir:v "Keep refrigerated" ]
  ] [
fhir:code [ fhir:v "SHAKE-WELL-BEFORE-USE" ] ;
fhir:display [ fhir:v "Shake well before use" ]
  ] [
fhir:code [ fhir:v "WARNING-MAY-CAUSE-DROWSINESS" ] ;
fhir:display [ fhir:v "Warning — may cause drowsiness" ]
  ] ) . #